Organization
KENNEDY MEDICAL GROUP PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMAN A CIERVO DO (CEO)
(856) 783-1987
Entity
Organization
Contact information
Practice address
151 FRIES MILL RD STE 102, TURNERSVILLE, NJ 08012-2056
(856) 352-6660
(856) 269-4258
Mailing address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 783-1987
(856) 783-1403
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
03/17/2018
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